MS. Jennifer Anne Waller, RN
NPI #1114167889 in Gallup, New Mexico
Provider Information
- NPI Number
- 1114167889
- Entity Type
- Individual
- Name
- MS. Jennifer Anne Waller, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Feb 20, 2009
- Last Updated
- Feb 20, 2009
Practice Location
- Address
- 516 NIZHONI BLVD
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5748
- Phone
- (505) 722-1315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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